| NPI | 1679265177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE CP019246T) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |